{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:12:17Z","timestamp":1767651137855},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":3837,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S019594170007716X_abs1\"><jats:title>Objective:<\/jats:title><jats:p>To assess the effect of implementing safety-engineered devices on percutaneous injury epidemiology, specifically on percutaneous injuries associated with a higher risk of blood-borne pathogen exposure.<\/jats:p><\/jats:sec><jats:sec id=\"S019594170007716X_abs2\"><jats:title>Design:<\/jats:title><jats:p>Before-and-after intervention trial comparing 3-year preintervention (1998\u20132000) and 1-year postintervention (2001\u20132002) periods. Percutaneous injury data have been entered prospectively into CDC NaSH software since 1998.<\/jats:p><\/jats:sec><jats:sec id=\"S019594170007716X_abs3\"><jats:title>Setting:<\/jats:title><jats:p>A 427-bed, tertiary-care hospital in Manhattan.<\/jats:p><\/jats:sec><jats:sec id=\"S019594170007716X_abs4\"><jats:title>Participants:<\/jats:title><jats:p>All employees who reported percutaneous injuries during the study period.<\/jats:p><\/jats:sec><jats:sec id=\"S019594170007716X_abs5\"><jats:title>Intervention:<\/jats:title><jats:p>A \u201csafer-needle system,\u201d composed of a variety of safety-engineered devices to allow for needle-safe IV delivery, blood collection, IV insertion, and intramuscular and subcutaneous injection, was implemented in February 2001.<\/jats:p><\/jats:sec><jats:sec id=\"S019594170007716X_abs6\"><jats:title>Results:<\/jats:title><jats:p>The mean annual incidence of percutaneous injuries decreased from 34.08 per 1,000 full-time\u2013equivalent employees preintervention to 14.25 postintervention (<jats:italic>P<\/jats:italic> &lt; .001). Reductions in the average monthly number of percutaneous injuries resulting from both low-risk (<jats:italic>P<\/jats:italic> &lt; .01) and high-risk (<jats:italic>P<\/jats:italic> was not significant) activities were observed. Nurses experienced the greatest decrease (74.5%, <jats:italic>P<\/jats:italic> &lt; .001), followed by ancillary staff (61.5%, <jats:italic>P<\/jats:italic> = .03). Significant rate reductions were observed for the following activities: manipulating patients or sharps (83.5%, <jats:italic>P<\/jats:italic> &lt; .001), collisions or contact with sharps (73.0%, <jats:italic>P<\/jats:italic> = .01), disposal-related injuries (21.41%, <jats:italic>P<\/jats:italic> = .001), and catheter insertions (88.2%, <jats:italic>P<\/jats:italic> &lt; .001). Injury rates involving hollow-bore needles also decreased (70.6%, <jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p><\/jats:sec><jats:sec id=\"S019594170007716X_abs7\"><jats:title>Conclusions:<\/jats:title><jats:p>The implementation of safety-engineered devices reduced percutaneous injury rates across occupations, activities, times of injury, and devices. Moreover, intervention impact was observed when stratified by risk for blood-borne pathogen transmission.<\/jats:p><\/jats:sec>","DOI":"10.1086\/502436","type":"journal-article","created":{"date-parts":[[2006,4,14]],"date-time":"2006-04-14T17:41:13Z","timestamp":1145036473000},"page":"536-542","source":"Crossref","is-referenced-by-count":63,"title":["Effect of Implementing Safety-Engineered Devices on Percutaneous Injury Epidemiology"],"prefix":"10.1017","volume":"25","author":[{"given":"SeJean","family":"Sohn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Eagan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kent A.","family":"Sepkowitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianna","family":"Zuccotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S019594170007716X_ref018","first-page":"929","article-title":"Case-control study of HIV seroconversion in health-care workers after percutaneous exposure to HIV-infected blood: France, United Kingdom, and United States, January 1988-August 1994","volume":"44","year":"1995","journal-title":"MMWR"},{"key":"S019594170007716X_ref003","first-page":"19","article-title":"CDC releases national needlestick estimates","volume":"5","author":"Perry","year":"2000","journal-title":"Advances in Exposure Prevention"},{"key":"S019594170007716X_ref007","doi-asserted-by":"publisher","DOI":"10.1086\/501681"},{"key":"S019594170007716X_ref012","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(95)90264-3"},{"key":"S019594170007716X_ref008","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(05)80005-7"},{"key":"S019594170007716X_ref005","unstructured":"Needlestick Safety and Prevention Act of 2000. 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